¿Es estable la relación entre tipo de cambio y posiciones netas de los especuladores en monedas de economías desarrolladas?: evidencia del Chicago Mercantile Exchange.

Este trabajo analiza si la relación entre los cambios en las posiciones netas de los especuladores de monedas de cinco economías desarrolladas en el Chicago Mercantile Exchange y los cambios porcentuales semanales en los tipos de cambio con respecto al dólar estadounidense de dichas monedas es estable en el tiempo, o bien depende, en alguna medida, del tamaño del mercado para los contratos de futuros de dichas monedas. Los resultados sugieren que no puede rechazarse la hipótesis de que el crecimiento del mercado incide sobre la sensibilidad del tipo de cambio ante una variación en las posiciones netas de los especuladores

Approach to the child with fatigue: A focus for the general pediatrician

Fatigue is a common, nonspecific complaint commonly used to describe various conditions, ranging from a vague, subjective sense of weariness to muscular weakness, fatigability, exercise intolerance or excessive daytime somnolence. Despite its high frequency in the general population, literature addressing the approach to the child with fatigue from a general pediatrician perspective is poor. We herein propose a review of the available evidence on the topic, providing a practical framework to assist physicians in dealing with the issue

Glycemic Control in Type 1 Diabetes Mellitus During COVID-19 Quarantine and the Role of In-Home Physical Activity.

Background: To limit the spread of coronavirus disease 2019 (COVID-19), governments have ordered a series of restrictions that may affect glycemic control in individuals with type 1 diabetes mellitus (T1DM), since physical activity (PA) was not allowed outside home. Methods: We retrospectively evaluated glycemic control of individuals with T1DM using hybrid closed loop (HCL) system in the period before the SARS-CoV-2 outbreak in Italy (February 10-23, 2020-Time 1), when movements were only reduced (February 24-March 8, 2020-Time 2) and during complete lockdown (March 9-22, 2020-Time 3). Information about regular PA (at least 3 h per week) prior and during the quarantine was collected. Results: The study included 13 individuals with a median age of 14.2 years and a good glycemic control at baseline (glucose management indicator of 7%, time in range [TIR] of 68%, time below range [TBR] of 2%). All individuals continued to show good glycemic control throughout the study period. There was an increase in TIR during the study period (+3%) and TIR was significantly higher during Time 3 (72%) than during Time 2 (66%). TBR was significantly lower during Time 3 (1%) both compared with Time 1 and Time 2 (2%). A meaningful variance in TIR at Time 3 between individuals who performed or not PA during quarantine and a significant increase in TIR between Time 2 and Time 3 in individuals both doing PA at baseline and during quarantine was found. At logistic regression, only the presence of PA during quarantine significantly predicted a TIR >70%. Conclusions: Glycemic control of T1DM in adolescents using HCL system did not worsen during the restrictions due to COVID-19 pandemics and further improved in those who continued PA during the quarantine. Maintaining regular PA in a safe home environment is an essential strategy for young individuals with T1DM during the COVID-19 crisis

Using complementary visual approaches to investigate residency, site fidelity and movement patterns of the dusky grouper (Epinephelus marginatus) in a Mediterranean marine protected area

AbstractAssessing individuals' abundance, residency (presence at a site within a certain period) and site fidelity (tendency to return to the same site in subsequent seasons or years) is crucial for evaluating and improving the effectiveness of spatial conservation/management measures regarding ecologically and socio-economically valuable species. Using underwater visual census (UVC) and photo-identification (photo-ID) techniques, we estimated the abundance, residency and site fidelity of the dusky grouper, Epinephelus marginatus, at two protected sites within the Tavolara-Punta Coda Cavallo Marine Protected Area (Sardinia, Italy) in the summers of 2017–2018. The scope and spatio-temporal resolution of the study was extended by involving volunteer recreational divers in the photo collection. Grouper mean densities varied significantly across sampling dates, with a significant variability between the 2 years and the two investigated sites. At least 94 grouper visited the study sites in the summers of 2017–2018 based on the analysis of 968 high-quality photos using a semi-automated software to photo-identify individuals. Overall, the most frequently sighted grouper was recorded on 32 different days and 21 individuals (22%) identified in 2017 were re-sighted in 2018. The participation of volunteer recreational divers helped detect the inter-site (3.5–4 km apart) movements of a female and a male, supporting previous findings regarding the occurrence of reproduction-related movements. This study provides novel insights into the residency and site-fidelity patterns of the dusky grouper, and its small-scale movements probably related to reproduction. Specifically, we provide indications that effective protection from fishing should encompass the entire area used by grouper for reproductive movements

Reply to Fildani, A.; Hessler, A.M. Comment on “Gerbaudo et al. Are We Ready for a Sustainable Development? A Survey among Young Geoscientists in Italy. Sustainability 2022, 14, 7621”

We very much appreciate and thank Andrea Fildani and Angela Hessler for their comment [...

SBI is uncommon in the absence of paediatricians' gut feeling and abnormal respiratory pattern

According to the Italian national statistical institute, severe bacterial infections (SBI) in Italy are responsible for 1.7% of mortality under five years of age and their recognition is often challenging, especially in the first stages of the disease. We tried to estimate the prevalence of SBI in our target population and to identify signs and symptoms that could guide in the initial evaluation of a child with a possible SBI

Somatic symptom disorder was common in children and adolescents attending an emergency department complaining of pain

AIM: The aim of this study was to quantify the prevalence of somatic pain in a paediatric emergency department (ED). METHODS: We conducted a prospective observational study using patients admitted to the ED of an Italian children's hospital between December 2014 and February 2015. We enrolled children aged 7-17 who turned up at the ED complaining of pain. Patients and parents were asked to fill in a questionnaire to allow the analysis of the patients' medical history and provide contact details for follow-up. We divided the enrolled patients into four groups: post-traumatic pain, organic pain, functional pain and somatic pain. The questionnaire was used to define pain characteristics and to generate an impairment score. RESULTS: Of the 713 patients who met inclusion criteria, 306 (42.9%) were enrolled in the study. Of these, 135 (44.0%) suffered from post-traumatic pain, 104 (34.0%) from organic pain, 41 (13.4%) from functional pain and 26 (8.6%) from somatic pain. Somatic pain patients had endured pain longer, had missed more school days and had suffered severe functional impairment. CONCLUSION: This study highlighted that somatic pain was a significant contributor to paediatric emergency room visits and should be suspected and diagnosed in children reporting pain

Clinical and laboratory characteristics but not response to treatment can distinguish children with definite growth hormone deficiency from short stature unresponsive to stimulation tests

Introduction: It has been proposed that not all children with short stature displaying an inadequate response to tests for growth hormone (GH) secretion truly suffer from GH deficiency (GHD). Only children with a monogenic cause of GHD or an identifiable combined hormonal deficiency or anatomical anomaly in the hypothalamic-pituitary axis should be considered definite GHD (dGHD). The remaining patients can be defined as a separate group of patients, “short stature unresponsive to stimulation tests” (SUS). The aim of this proof-of-concept study, was to assess whether SUS patients treated with rhGH exhibit any differences compared to GHD patients undergoing the same treatment. Methods: Retrospective analysis on 153 consecutive patients with short stature and pathological response to two GH stimulation tests. Patients with dGHD were defined as those with a clear genetic or anatomical hypothalamic-pituitary anomaly, as well as those with combined pituitary hormone deficiencies and those with a known insult to the hypothalamic-pituitary axis (i.e. total brain irradiation) (n=38, 25%); those without any of the previous anomalies were defined as SUS (n=115, 75%). Results: At diagnosis, dGHD and SUS populations did not differ significantly in sex (F 32% vs 28%, p=0.68), age (11.9 vs 12.1, p=0.45), height SDS at diagnosis (-2.2 vs. -2.0, p=0.35) and prevalence of short stature (height <-2 SDS) (56% vs 51%, p=0.45). IGF-1 SDS were significantly lower in dGHD (-2.0 vs -1.3, p<0.01). After 1 year of treatment, the prevalence of short stature was significantly reduced in both groups (31% in dGHD vs. 21% in SUS, p<0.01) without any significant differences between groups (p=0.19), while the increase in IGF-1 SDS for bone age was greater in the dGHD category (+1.9 vs. +1.5, p<0.01), with no further difference in IGF-1 SDS between groups. At the last available follow-up, 59 patients had reached the near adult height (NAH) and underwent retesting for GHD. No differences in NAH were found (-0.3 vs. -0.4 SDS, 0% vs. 4% of short stature). The prevalence of pathological retesting was higher in dGHD (60% vs. 10%, p<0.01) as well as of overweight and obesity (67% vs. 26%). Conclusion: Stimulation tests and the equivalent benefit from rhGH therapy, cannot distinguish between dGHD and SUS populations. In addition, lower IGF-1 concentrations at baseline and their higher increase during treatment in dGHD patients, and the lack of pathological retesting upon reaching NAH in SUS patients, are facts that suggest that deficient GH secretion may not be the cause of short stature in the SUS studied population

[Nice to see you again! Italian ECH back in action at national and international congresses]

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